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Loose motion and fever
Hello Doctor,
I have had a fever and frequent bowel movements for the last 5 days.
Stool: Frequent urge to go, but the stool is not watery (it is normal/semi-formed)
Fever: Persistent; returns after Dolo 650 wears off.
Medicines taken: Dolo 650 and Loperamide (neither has resolved the problem).
Please advise on the right treatment
Answers (32)
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Stop Loperamide for now, as it should be avoided in diarrhea with fever
Take ORS frequently to prevent dehydration.
Paracetamol 650 mg can be taken for fever,
Consult a physician for examination and investigations such as CBC, CRP, and stool examination, with further tests based on findings.
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Go to the hospital .do cbc crp and stool rE.if there is infection ie bacterial take antibiotics.Take Iv fluids also
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Already answered with treatment
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Hi good morning
Since you have persistent fever and altered bowel habits its better to do blood workup and follow up
Kindly consult will discuss the plan
Next Steps
Consult
Health Tips
Drink plenty of fluids
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Consult
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go for test
Dengue NS1and Ns2
iG g and IG m
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Kindly connect with me for a proper diagnosis,and management of ur condition
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You have had fever for 5 days with frequent bowel movements, so an in-person evaluation is advisable rather than continuing loperamide.
If you’re looking for a detailed evaluation and personalized treatment plan, you’re welcome to consult me directly.
Next Steps
Check CBC, CRP, LFT, and tests for infections such as dengue/malaria or typhoid depending on examination and local prevalence. Maintain good hydration with ORS and fluids. Avoid loperamide while fever is present until an infectious cause is ruled out.
Health Tips
Seek urgent care if there is blood in stool, severe abdominal pain, persistent vomiting, dehydration, confusion, breathing difficulty, or very high/persistent fever.
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Hello, since you have persistent fever for 5 days along with frequent bowel movements, even though the stools are not watery, you should get evaluated rather than continuing loperamide.
For now:
Paracetamol 650 mg as needed for fever (maximum 3,000 mg/day).
Take ORS and plenty of fluids.
Avoid loperamide while fever is ongoing.
I would recommend CBC, CRP, LFT, kidney function/electrolytes, and testing for malaria/dengue and enteric fever as clinically indicated. A blood culture is useful if enteric fever is suspected, preferably before antibiotics.
Do not start antibiotics empirically without examination/testing unless your doctor finds a clear indication.
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Kindly consult and give proper detailed history along with symptoms for evaluation and take proper treatment with relevant investigations if required.
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As you are saying that there is frequent stools but not watery and fever too.
But it was watery from starting or not?
What was your last food before this condition?
If it was watery at the starting and after taking loperamide which is an antidiarrheal Medicine then it can be due to this that now your stool is not watery
But you had fever and still frequent stools,it can be due to that there is some infection which was not able to come out with watery stools before taking medication,
Sometimes there is No need to take medicine asap because body's natural feature is to throw out the infection through stools or vomiting.
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but now you have to stay hydrated and must go for blood tests.
if there will be any infection then further treatment will be needed.
must consult the doctor
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Take paracetamol 650 mg and norflox tz tab
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Since the fever has been continuing for 5 days along with frequent bowel movements, I’d suggest getting yourself examined once rather than continuing loperamide on your own.
Next Steps
Please get your vitals and hydration status checked. Do get some basic blood tests done, and we’ll decide on further tests based on your symptoms and lab findings.
Meanwhile, keep yourself well hydrated and take ORS regularly.
Health Tips
If you develop severe abdominal pain, blood in stools, repeated vomiting, severe weakness, reduced urine output, or confusion, please seek medical attention immediately.
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Go for blood test
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Avoid loperamide and start to take ors
If fever persistent kindly go with routine investgation cbc and crp
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After that contact me
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First of all see a good Doctor and stop Loperamide.
5 Days seems a bit longer duration for problem you have. You should go for initial assessment for perfect diagnosis and medications.
But still you can take ORS, PCM (1-0-1), Enterogermina(1-0-0), Sporolac DS (0-0-1)
Next Steps
Tests - USG Whole Abdomen, CBC, LFT, RFT, CRP, ESR WIDAL, MP BY CARD, Urine R/M
take IVs if it's not reliving by oral medications
Health Tips
Do visit doctor with this report so that related antibiotics could be added
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Stop taking Loperamide . Stay hydrated , take ORS and probiotics like Boldi sachet or Enterogermina.Need further evaluation.
Do consult.
Next Steps
Routine blood investigation and stool sample and USG if required.
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Do consult
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Five days of fever with frequent stools needs an examination to rule out an intestinal infection and dehydration. Please stop loperamide for now, especially if there is blood or mucus; continue frequent ORS and a light diet. I advise a same-day review for hydration assessment and basic tests rather than adding medicines blindly. You can book a Practo consult or visit me at Synergy Multispeciality Hospital, Miraj.
Next Steps
Get examined today for hydration and appropriate tests; continue ORS and seek urgent care for dizziness, very low urine, blood in stool, or worsening fever.
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Don't take loperamide without physician advice
Need further evaluation and investigation
Do consult at practo
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Tab O2/bd for 5 days
Cap Sompraz D/od bbf
Sachet Bifiota/od
Tab Zerodol sp/bd
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Need a few more details please consult for further evaluation and treatment
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Need proper evaluation please consult for assessment and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Mr. Manyam Vasanth Vyas
General Physician
1 yrs exp
Guntur
Fever and Frequent urge to go stools isn't a symptomatic issue to get treated, there do exist many causes for such a combination of symptoms.
Next Steps
Kindly Consult for detailed evaluation
Health Tips
Do not merely use Loperamide and Paracetamol, Do consult a doctor even if it doesn't relieve within a day
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Mr. Arun R
General Physician
3 yrs exp
Chennai
A persistent fever lasting 5 days paired with frequent urges to pass semi-formed stool points toward an invasive entero-invasive infection (such as Enteric/Typhoid fever) or infectious colitis rather than simple watery diarrhea. Taking Loperamide is specifically counterproductive here; antimotility agents gut clearance and trap invasive bacteria and toxins inside your intestinal wall, which prolongs the infection and fever. Because your fever recurs as soon as paracetamol wears off, this requires targeted antimicrobial therapy based on proper lab investigations rather than symptom suppressants.
Next Steps
Stop taking Loperamide immediately to let your intestines naturally clear infectious waste. You need basic fever and gastrointestinal blood work—including a Complete Blood Count (CBC), CRP, Blood Culture, and Widal/Typhidot or stool routine test—to isolate the exact bug.
Please book an online consultation with me right away. so, we can review your vitals, start an appropriate antibiotic regimen, and get your fever under control safely.
Health Tips
Never use antimotility drugs like Loperamide when a fever or bloody/mucus stool is present, as it carries a risk of severe toxic megacolon. Maintain strict hydration with oral rehydration salts (ORS), tender coconut water, and a bland, easily digestible diet such as khichdi, curd-rice, and boiled potatoes. Seek immediate physical hospital emergency care if you experience severe abdominal pain, persistent vomiting, black or bloody stools, or extreme dizziness.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A fever and loose motions lasting five days without improvement on Dolo and Loperamide needs a proper check up rather than more of the same medicines.
Next Steps
Please see a physician for a stool test and basic blood work to find the exact cause and get the right treatment.
Health Tips
Keep yourself well hydrated with ORS, and seek care urgently if you see blood in the stool or feel very weak.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.